Wellstar Roosevelt Long Term Acute Care at Warm Springs
6135 Roosevelt Highway, P O Box 280, GA · Wellstar Health System · · NPI 1427468362
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Diagnostic laryngoscopy 31505 CPT 31505 | $205.14 | $526.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $2,006.94 | $5,146.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $388.05 | $995.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $349.05 | $895.00 | not published | 0 |
| Diagnostic radio unlisted proc CPT 76499 | $146.25 | $375.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $9,279.66 | $23,794.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $827.97 | $2,123.00 | not published | 0 |
| Diathermy eg microwave CPT 97024 | $50.31 | $129.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $321.75 | $825.00 | not published | 0 |
| Diffusing capacity CPT 94729 | $541.71 | $1,389.00 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $124.80 | $320.00 | not published | 0 |
| Dilate biliary duct/ampulla CPT 47542 | $1,156.74 | $2,966.00 | not published | 0 |
| Dilate esophagus CPT 43453 | $2,003.04 | $5,136.00 | not published | 0 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $5,382.39 | $13,801.00 | not published | 0 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $3,589.17 | $9,203.00 | not published | 0 |
| Dilate ic vasospasm init CPT 61640 | $6,280.95 | $16,105.00 | not published | 0 |
| Dilate tear duct opening CPT 68801 | $80.73 | $207.00 | not published | 0 |
| Dilate urethra stricture CPT 53600 | $1,503.84 | $3,856.00 | not published | 0 |
| Dilate urethra stricture CPT 53605 | $1,368.12 | $3,508.00 | not published | 0 |
| Dilation/female urethra/initial 53660 CPT 53660 | $714.87 | $1,833.00 | not published | 0 |
| Dilation of urethra CPT 53665 | $2,507.31 | $6,429.00 | not published | 0 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $2,507.31 | $6,429.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $286.59 | $734.85 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $4,820.40 | $12,360.00 | not published | 0 |
| Dilat xst trc new access rcs CPT 50437 | $8,110.83 | $20,797.00 | not published | 0 |
| Disability dlco CPT 94727 | $574.86 | $1,474.00 | not published | 0 |
| Disaccharidases CPT 82657 | $249.21 | $639.00 | not published | 0 |
| Discography cerv/thor spine CPT 72285 | $1,921.92 | $4,928.00 | not published | 0 |
| Dissolve clot heart vessel CPT 92975 | $3,256.89 | $8,351.00 | not published | 0 |
| Dmpk gene charac alleles CPT 81239 | $452.40 | $1,160.00 | not published | 0 |
| Dmpk gene detc abnor allele CPT 81234 | $318.75 | $817.30 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $160.68 | $412.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $86.58 | $222.00 | not published | 0 |
| Dna probe chlamydia CPT 87490 | $271.05 | $695.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $76.44 | $196.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $20.94 | $53.70 | not published | 0 |
| Doppler echo complete CPT 93320 | $389.61 | $999.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,238.64 | $3,176.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $486.33 | $1,247.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $798.33 | $2,047.00 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $48,793.00 | $125,110.26 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $453.57 | $1,163.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $794.82 | $2,038.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $710.58 | $1,822.00 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $9,703.59 | $24,881.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $794.82 | $2,038.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $1,661.79 | $4,261.00 | not published | 0 |
| Drainage of abdomen CPT 48000 | $6,075.03 | $15,577.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $4,476.81 | $11,479.00 | not published | 0 |
| Drainage of eye CPT 65800 | $1,726.53 | $4,427.00 | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $3,883.62 | $9,958.00 | not published | 0 |
| Drainage of mouth lesion CPT 41005 | $284.70 | $730.00 | not published | 0 |
| Drainage of mouth lesion CPT 41008 | $7,569.90 | $19,410.00 | not published | 0 |
| Drainage of mouth lesion CPT 41009 | $1,416.48 | $3,632.00 | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | $1,857.57 | $4,763.00 | not published | 0 |
| Drainage of nose lesion sept 30020 CPT 30020 | $579.93 | $1,487.00 | not published | 0 |
| Drainage of pelvis lesion 26990 CPT 26990 | $11,916.06 | $30,554.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $6,838.65 | $17,535.00 | not published | 0 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,459.34 | $6,306.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $238.68 | $612.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $3,343.47 | $8,573.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $3,765.45 | $9,655.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,113.06 | $2,854.00 | not published | 0 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $85.57 | $219.42 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $794.82 | $2,038.00 | not published | 0 |
| Drain lower leg lesion 27603 CPT 27603 | $6,118.71 | $15,689.00 | not published | 0 |
| Drain neck/chest lesion 21501 CPT 21501 | $4,391.40 | $11,260.00 | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $5,827.38 | $14,942.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $852.93 | $2,187.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $852.93 | $2,187.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $852.93 | $2,187.00 | not published | 0 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $1,248.78 | $3,202.00 | not published | 0 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $6,472.44 | $16,596.00 | not published | 0 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,737.06 | $4,454.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,583.40 | $4,060.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $6,307.08 | $16,172.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $1,834.56 | $4,704.00 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | $3,772.47 | $9,673.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $7,053.54 | $18,086.00 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,650.12 | $4,231.08 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $60.20 | $154.37 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $50.30 | $128.97 | not published | 0 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | $301.63 | $773.40 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | $301.47 | $773.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $155.61 | $399.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $39.39 | $101.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $63.57 | $163.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $44.46 | $114.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $303.81 | $779.00 | not published | 0 |
| Drug test def 15-21 classes HCPCS G0482 | $263.25 | $675.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $263.25 | $675.00 | not published | 0 |
| Drug test def 8-14 classes HCPCS G0481 | $263.25 | $675.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $128.31 | $329.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $90.48 | $232.00 | not published | 0 |
| Dry needling (97799) CPT 97799 | $114.27 | $293.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,967.04 | $12,736.00 | not published | 0 |
| Ductogram sgl duct CPT 77053 | $450.06 | $1,154.00 | not published | 0 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,034.28 | $2,652.00 | not published | 0 |
| Duplex scan unilateral study 93986 CPT 93986 | $689.91 | $1,769.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $752.70 | $1,930.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.